| Eyewear Gallery | |
|
1107 9th Ave, De Witt, IA 52742-1053 | |
| (563) 659-2020 | |
| (563) 659-2121 |
| Full Name | Eyewear Gallery |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1107 9th Ave, De Witt, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588029938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 073412 (Iowa) | Primary |
| Provider Name | Mark A Benson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871596452 PECOS PAC ID: 3476680562 Enrollment ID: I20100421000654 |
| Provider Name | Jacob M Hayward |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912346552 PECOS PAC ID: 3678709805 Enrollment ID: I20140708000124 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyewear Gallery Po Box 50, De Witt, IA 52742-0050 Ph: (563) 659-2020 | Eyewear Gallery 1107 9th Ave, De Witt, IA 52742-1053 Ph: (563) 659-2020 |
Dr. Mervin R Hassebrock, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1107 9th Ave, De Witt, IA 52742 Phone: 563-659-8141 Fax: 563-659-2121 | |
Dr. Scott C Palmer, DO Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1107 9th Ave, De Witt, IA 52742 Phone: 563-659-8141 Fax: 563-659-2121 | |
Vision Center Of Dewitt P C Optometrist Medicare: Not Enrolled in Medicare Practice Location: 800 6th Ave, De Witt, IA 52742 Phone: 563-659-3999 Fax: 563-659-2966 | |
Dr. Mark Allen Benson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 800 6th Ave, De Witt, IA 52742 Phone: 563-659-3999 Fax: 563-659-2966 | |
Dr. Jacob M. Hayward, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1107 9th Ave, De Witt, IA 52742 Phone: 563-659-2020 Fax: 563-659-2121 |